This sounds lame, but I coped using time and knowledge. The first few months after getting the symptoms were by far the worse. This site was a HUGE help, but even then I was afraid to read about my symptoms for fear I would find something that didn't sit well or would be scary. The more I read, the more I learned/accepted the truth of what my ailment was, and more importantly what it wasn't. Its amazing how much less I notice my twitches when I'm not worrying about them. If I "listen" for them, they are there all day, every day, and of course the big thumpers I cannot ignore. At this point, I've accepted them for what they are and in a strange way I kinda like them. I figure I'm burning more calories with them! I have not taken any medication (although it probably would benefit my general high anxiety) and have had twitching for over 5 years. When a new hotspot appears, yes I will get a bit worried and then I reacquaint myself with the facts until it just becomes another symptom. I'm sure there are probably much better coping techniques than mine (which is really nothing), but this is what has gotten me through.